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A review study proposed another mechanisms underlying the potential interaction of the smoking and oestrogen metabolites such as decrease in oestrogen activity, SHBG levels, aromatase enzyme activity, C-20, 22 desmolase enzyme levels and increase in free testosterone levels, hyperandrogenism and the hepatic metabolism of steroid (Reference Ruan and Mueck41)

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It's not positioned as a cure, but rather as a supportive element in a broader gut health strategy that includes whole foods, hydration, and mindfulness around inflammation triggers

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